private equity managers to take what is really just earned income, a commission and get capital gains taxes on the interest, why don't we honor primary care physicians in america as we honor private equity managers and give them the same rate if they go to rural areas, et cetera. the president exists. congress has we want to encourage capital formation. well, that is capital. physicians are human capital and we want to encourage. thank you, mr. chairman. >> .or reinhardt, thank you very much. last but not least is dr. dr. claudia fegan, chief medical officer for the hospital county and chicago, often referred to as cook county hospital. she was previously the associate chief medical officer for the ambulatory and community health network and intra- chief officer for the health services. dr. fegan serves for the health program received her undergraduate degree and her medical degree from the university of illinois college of medicine. thank you so much for being with us. >> thank you, senator sanders, senator enzi another distinguished senators for 40 minutes opportunity to address inadequat